Dikal 1031 LLC - Central Home

Based on observations, documentation review, and interview, the manager failed to ensure the means of exiting the facility for a resident who does not have a key, special knowledge for egress, or the ability to expend increased physical effort, controlled or alerted employees of the egress of a resident from the facility. The deficient practice posed a risk if the facility was unaware of the general or specific whereabouts of a resident. Findings include: 1. During the environmental inspection, the Compliance Officer observed that when the patio door in the living room was opened, no alarm sounded to alert employees that a person was entering or exiting the facility. In order to confirm the lack of alarm, the Compliance Officer opened and closed the patio door multiple times. 2. A review of Department documentation revealed the facility was authorized to provide directed care services. 3. A documentation review of the facility's Policies and Procedures revealed that the facility was responsible for ensuring that the all of the door alerts worked properly. 4. In an interview, E2 acknowledged that personnel would not be alerted to a resident exiting the facility due to the alarm or alert on the patio door being switched off.

Based on observation and interview, the manager failed to ensure that poisonous or toxic materials stored by the assisted living facility were maintained in labeled containers in a locked area separate from food preparation and storage, dining area and medications are inaccessible to residents. The deficient practice posed a risk to the physical health and safety of a resident. Findings include: 1. During the environmental inspection, the Compliance Officer observed a bottle of a purple liquid disinfecting cleanser inside an unlocked kitchen sink cabinet. 2. In an interview, E2 acknowledged that the manager failed to store the poisonous or toxic materials in a locked separate area from food preparation and storage that was inaccessible to residents.

Based on observation, record review, interview, and documentation review, a person established, conducted, and maintained a health care institution without a current and valid license issued by the Department. The deficient practice posed a risk as the unlicensed operation or maintenance of a health care institution is prohibited and is declared a nuisance inimical to the public health and safety, per A.R.S. \'a7 36-430. Findings include: 1. Based on observation, during an initial licensure inspection, the Compliance Officer observed eight residents and two caregivers were present in the facility. The residents were observed to be receiving assisted living services provided by the caregivers. 2. In record review, the facility had medical records for R1 (received Personal Care services), R2 (received Personal care services), R3 (received Personal care services), R4 (received Personal care services), R5 (received Personal care services), R6 (received Personal care services), R7 (received Directed care services), and R8 (received Personal care services). 3. In documentation review, the Department received an application for licensure from the facility, on December 26, 2023; however, the application was withdrawn due to unmet time frames. The Department received another application for licensure from the from the facility, on April 25, 2024, for which an administrative complete letter was sent to the facility on May 3, 2024. 4. During an interview, E1, and E2 reported eight residents were present on site at the facility, and received assisted living services. E1 reported the facility ownership changed approximately one year ago, and the new owners continued to provide services for the residents at the facility, and accepted new residents. E1 and E2 acknowledged the facility was operating a HCI without a current and valid license issued by the Department.